Pain after stroke: A review

Delpont, Benoît; Blanc, Christelle; Osseby, Guy‐Victor; Hervieu-Bègue, Marie; Giroud, M.; Béjot, Yannick

doi:10.1016/j.neurol.2017.11.011

Cited by 92 publications

(67 citation statements)

References 42 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Our results further con rm that people living in rural area may suffer from more pain than those living in urban areas. The nding was consistent with people with dyslipidemia in Henan [33], but did not agree with the results of a study in Taiwan, in which stroke patients' most frequent issue was SC [34]. The possible reason may be that stroke patients living in rural areas need additional attention.…”

Section: Discussioncontrasting

confidence: 71%

See 1 more Smart Citation

EQ-5D results in stroke survivors: What are they suffering from? Results from the Henan Rural Cohort Study

Mei

Zhang

et al. 2020

Preprint

View full text Add to dashboard Cite

Background Stroke is a major health threat and the leading cause of mortality and disability in China. The aims of this study were to identify the possible influencing factors of health-related quality of life (HRQoL) and its domain-specific contents in stroke patients in rural areas in China. Methods A total of 1709 stroke patients aged from 36 to 79 years from the Henan Rural Cohort Study (n=39259) were included in this study. The Chinese version of the European Quality of Life Five Dimension Five Level Scale (EQ-5D-5L) and visual analogue scale (VAS) were used to evaluate HRQoL in stroke patients. Tobit regression models, generalized linear models and binary logistic regressions models were constructed to determine the potential influencing factors of the EQ-5D utility index, as well as influencing factors of each domains and VAS score.Results The mean utility index and VAS scores of stroke patients were 0.885 (SD, 0.204), and 68.39 (SD, 17.31), respectively. Pain/discomfort (PD, 35.2%) and mobility (MO, 30.4%) were the most frequently reported issues. Regression models revealed that stroke patients who were illiterate; had a low monthly income; reported low physical activity intensity; and had diabetes, anxiety, depression or poor sleep quality had lower utility index and VAS scores. For the different dimensions of the EQ-5D, the influencing factors varied. Conclusion Stroke patients in rural areas had a lower HRQoL than those in urban areas. Factors associated with the EQ-5D utility index as well as each domain and VAS score, need attention. Stroke patients in rural areas need to be managed systematically. Clinical trial registration: The Henan Rural Cohort Study has been registered in the Chinese Clinical Trial Register (Registration Number: ChiCTR-OOC-15006699). Date of registration: 2015-07-06.http://www.chictr.org.cn/showproj.aspx?proj=11375.

show abstract

Section: Discussioncontrasting

confidence: 71%

“…Pain after stroke is a common clinical problem that not only increases depression and cognitive issues but also impairs quality of life [8,32]. Moreover, pain after stroke is usually underdiagnosed and undertreated [33]. Health care workers need to assess the pain early and help patients obtain relief.…”

Section: Discussionmentioning

confidence: 99%

EQ-5D results in stroke survivors: What are they suffering from? Results from the Henan Rural Cohort Study

Mei

Zhang

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…At arrival to hospital, stroke severity was (in the case of IS or ICH) assessed with National Institutes of Health Stroke Scale (NIHSS) 0-46 [22] and in patients with confirmed SAH with Hunt and Hess (H&H) 1-5, where a lower score suggests a less clinically severe presentation [23]. The NIHSS total score was divided into the following groups: very mild (0-2), mild (3-4), moderate (5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15) and severe . At discharge from hospital, the functional dependency was assessed with the modified Rankin Scale (mRS) 0-5 [24].…”

Section: Clinical Assessmentsmentioning

confidence: 99%

“…However, pain is not always directly correlated to stroke and data from several studies suggest that PSP is more common in patients with pain prior to the stroke [10,11]. There are several different types of PSP such as headache, shoulder pain, pain due to muscle stiffness, spasm, complex regional pain syndrome and central PSP [12][13][14]. This may also include experience of pain and presence of sensory abnormalities in body parts affected by the cerebrovascular lesion [12].…”

Section: Introductionmentioning

confidence: 99%

Experienced pain after stroke: a cross-sectional 5-year follow-up study

et al. 2020

View full text Add to dashboard Cite

Background: Stroke is one of the most common cause of disability worldwide. Pain is common in both stroke survivors and in the general population. Consequences of post-stroke pain (PSP) include reduced quality of life and are important to consider. The aim of the current study was to explore the experience of pain 5 years after stroke, and factors associated with the experience of pain. Methods: Inclusion criteria were: First ever stroke, treated at Sahlgrenska University Hospital, Sweden, during an 18 months period in 2009-2010, aged 18 years or older. Furthermore, the participants had to respond to a set of questionnaires 5 years post-stroke. Baseline data were collected from medical records and follow-up data from the set of questionnaires. The primary outcome was based on the question Do you experience pain? Predictors and explanatory factors for experiencing more frequent pain were analysed with logistic regression. Results: A total of 281 participants were included. Almost 40% experienced pain to some degree 5 years poststroke (15% reported pain frequently), and 25% felt that their needs for pain treatment were not met. The participants experiencing more frequent pain reported poorer quality of life, self-perceived health status and recovery post-stroke. Functional dependency at discharge from hospital, experiencing depression at follow up and restricted mobility at follow up were all associated with more frequent pain. Conclusion: Pain is common 5 years post-stroke and the treatment is not perceived as optimal. The persons experiencing more frequent pain seem to rate their health and recovery worse than the persons experiencing less frequent pain. Most of the factors associated with more frequent pain were treatable and this emphasize the importance of standardised follow-up care that takes pain into consideration.

show abstract

“…For post-stroke impairments like sensory-motor dysfunction or aphasia as well as for post-stroke comorbidities such as spasticity, pain, cognitive impairment and depression, clinical guidelines [10] and some therapeutic treatment options are available [14][15][16][17][18][19][20]. On the other hand, there is relatively little attention to the social recovery of patients.…”

Section: Introductionmentioning

confidence: 99%

Social work support and unmet social needs in life after stroke: a cross-sectional exploratory study

Lehnerer

Hotter

Padberg

et al. 2019

Preprint

View full text Add to dashboard Cite

Background: Stroke patients are often affected by long-term disabilities with needs concerning social issues. There is relatively little consideration of social recovery of patients and the support required to return to work, receive social benefits, participate in daily life activities, maintain contact with family and friends and to organize financial affairs. In our study we aimed to investigate if existing tools record social needs adequately. We analyzed the current provision of social support provided in long-term care after stroke and whether unmet social needs were associated with quality of life, caregiver burden, overall function and degree of disability. Methods: Our analysis is part of the Managing Aftercare of Stroke study (MAS-I), a cross-sectional exploratory study of patient needs 2-3 years after initial stroke. Assessment tools included the Nikolaus-score (social situation), the EuroQoL (quality of life), the German Burden Scale for Family Caregivers (caregiver burden), the modified Rankin Scale (disability / dependence), Stroke Impact Scale (function and degree of disability) and the Stroke Survivor Needs Questionnaire (unmet needs). Results: Overall 57 patients were included in MAS-I, with ten patients classified in urgent need of socio-economic support according to the Nikolaus-score. Patients with lower than normal Nikolaus-score had a higher degree of disability. Thirty percent of all patients had never received professional social support. Social worker contact happened mostly during the stay in acute hospital or rehabilitation institution. Only four patients (11%) reported long-term support after discharge. Apart from social worker contact during acute care, 43% of patients had unmet needs in the long-term aftercare. Forty percent of all patients included in MAS-I were recommended for social work intervention after an in-depth analysis of their situation. Finally, we saw that unmet social needs were associated with lower quality of life and higher caregiver burden. Conclusions: Our data suggest significant unmet needs in social care in long-term stroke patients. Screening tools for unmet social needs such as the Nikolaus-score do not holistically report patients’ needs.

show abstract

Pain after stroke: A review

Cited by 92 publications

References 42 publications

EQ-5D results in stroke survivors: What are they suffering from? Results from the Henan Rural Cohort Study

EQ-5D results in stroke survivors: What are they suffering from? Results from the Henan Rural Cohort Study

Experienced pain after stroke: a cross-sectional 5-year follow-up study

Social work support and unmet social needs in life after stroke: a cross-sectional exploratory study

Contact Info

Product

Resources

About